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Organization
NOOKSACK CENTRAL MANAGEMENT SYSTEM
Active
Organization
NOOKSACK CENTRAL MANAGEMENT SYSTEM
Active
Parent organization
NOOKSACK CENTRAL MANAGEMENT SYSTEM
Other names
NOOKSACK CABIN CREEK BEHAVIORAL HEALTH PROGRAM
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOOKSACK CENTRAL MANAGEMENT SYSTEM
Authorized official
MR. KEVIN COLLINS (DIRECTOR OF TREATMENT SERVICES)
(360) 966-7704
Entity
Organization
Contact information
Practice address
3003 CABIN CREEK ROAD, EASTON, WA 98925
(425) 508-3967
Mailing address
PO BOX 157, DEMING, WA 98244-0157
(360) 966-7704
(360) 966-4225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980911
—
WA
Enumeration date
05/12/2010
Last updated
05/12/2010
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